Category: Review
Bariatric Surgery in Patients with Liver Cirrhosis and Portal Hypertension
by Juan Camilo Barreto, MD; Michael G. Sarr, MD; and James M. Swain, MD All from the Division of Gastroenterologic and General Surgery, Mayo Clinic, Rochester, Minnesota. The Problem Cirrhosis is an unexpected finding at the time of bariatric surgery in about 1 to 2 percent of the patients undergoing elective bariatric surgery. The surgeon […]
Laparoscopic Sleeve Gastrectomy
By Ismael Court, MD; Omar Bellorin, MD; Fernando Dip, MD; Christopher DuCoin, MD; Samuel Szomstein, MD, FACS; and Raul J. Rosenthal, MD, FACS All from the Bariatric & Metabolic Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, Florida Key words: Bariatric surgery, laparoscopy, morbid obesity, Roux-en-Y gastric bypass, sleeve gastrectomy Introduction Surgery has […]
Clinical Pearls in Managing Bariatric Surgical Emergencies
by J.K. Champion, MD, FACS Dr. Champion is Director of Bariatric Surgery, Northside Hospital, Atlanta, GA and Clinical Professor of Surgery, Mercer University School of Medicine, Macon, Georgia. Introduction Bariatric surgery—no matter the procedure, no matter the surgeon with however much experience—will result in complications and surgical emergencies. The average incidence of in-hospital complications after […]
The Duodenal Switch Revisited
by Daniel J. Rosen, MD, and Alfons Pomp, MD, FACS Both from Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, New York. Introduction It has been over a decade since Hess described a significant modification of the Scopinaro bilio-pancreatic diversion (BPD).[1,2] In the duodenal switch (DS), a vertical sleeve gastrectomy provides […]
Gastrointestinal Hormones and their Relationship to Bariatric Surgery
by Daniel J. Rosen, MD; and Alfons Pomp, MD, FACS Introduction When most of us learned about gastrointestinal physiology, cholecystokinin was an enzyme. It turns out that it is actually a powerful endocrine hormone as well. The gastrointestinal (GI) tract produces dozens of peptides that enter the circulation and cause a variety of effects relating […]
Metabolic Outcomes in Bariatric Surgery: A Review
by Deborah Abeles, MD; Sajani Shah, MD; Scott A. Shikora, MD; and Michael E. Tarnoff, MD All are from the Center for Minimally Invasive Surgery, Tufts Medical Center, Boston, Massachusetts.
A Collaborative Approach to Reconstructive Surgery: The Importance of a Supportive Team
by Tracy Martinez, RN, BSN, CBN; Christopher D. Still, FACN, FACP; MK Batra, MD, FACS; and RJ Nelson, BS
Small Bowel Complication After Malabsorptive Procedures: Internal Hernias, Obstructions, and Intussusception
by Jesus E. Hidalgo, MD; Alexander Ramirez, MD; Raul Rosenthal, MD, FACS; and Samuel Szomstein, MD, FACS The Bariatric Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, Florida
Endoscopic Treatment of Bariatric Surgery Complications
by Jose M. Martinez, MD, FACS, and Atul K. Madan, MD, FACS Both from the Division of Laparoendoscopic and Bariatric Surgery, Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Body Contouring after Massive Weight Loss: Optimizing the Results
by Amy S. Colwell, MD From the Division of Plastic Surgery, Mass General Hospital, Boston Massachusetts